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匈牙利牙医对可摘局部义齿设计及其与牙科技师沟通的自我评估

Self-Assessment of Hungarian Dentists Regarding Removable Partial Denture Design and Communication with the Dental Technician.

出版信息

Int J Prosthodont. 2023 May;36(2):131-137. doi: 10.11607/ijp.7523. Epub 2023 May 24.

Abstract

PURPOSE

To evaluate the extent to which dentists elaborate removable partial denture (RPD) design themselves and what they leave to the dental laboratory, as well as to assess the quality of information transferred to the technicians.

MATERIALS AND METHODS

Data were collected using a questionnaire, and the responses of 211 dentists were analyzed. The categorized variables were analyzed using chi-square test and Fisher exact test. The significance level was considered as the standard < .05.

RESULTS

More than half (59.0%) of the dentists reported making an accurate, clear design for the dental technician before fabrication of the metal-framework RPD; 191 dentists (91.0%) specified the abutment teeth, 70.8% chose the type of clasps, and 60.7% gave instructions for the major connectors. The respondents largely took into account periodontal hygiene considerations (82.4%), and about one-third (37.7%) reported they were sending clear, precise instructions to the lab. The denture design was sent to the technician mainly (65.0%) in both drawing and text form. About half of the dentists (55.6%) gave only guidelines and left more details to be defined by the dental technician. Most dentists took responsibility in case of esthetic problems, irrespective of whether the dentist or technician prepared the denture design.

CONCLUSION

Everyday practice concerning RPD design is far from the professional, legal, and ethical guidelines and rules relating to the duties and responsibilities of the dentist in relation to RPD design, and the situation therefore needs to be improved. Int J Prosthodont 2022;36:131-137. doi: 10.11607/ijp.7523.

摘要

目的

评估牙医自行设计可摘局部义齿(RPD)的程度,以及他们将哪些部分留给牙科实验室,并评估传递给技术人员的信息质量。

材料与方法

使用问卷收集数据,对 211 名牙医的回答进行分析。对分类变量采用卡方检验和 Fisher 确切检验进行分析。显著性水平被定义为标准 <.05。

结果

超过一半(59.0%)的牙医在制作金属框架 RPD 之前,向牙科技师准确、清晰地设计了义齿;191 名牙医(91.0%)指定了基牙,70.8%选择了卡环类型,60.7%为主要连接体提供了指导。受访者大多考虑了牙周卫生因素(82.4%),约三分之一(37.7%)报告称他们向实验室提供了清晰、准确的说明。义齿设计主要以图纸和文字形式发送给技师(65.0%)。大约一半的牙医(55.6%)只提供了指导方针,将更多细节留给牙科技师来定义。大多数牙医在出现美学问题时承担责任,无论义齿设计是由牙医还是技师准备的。

结论

日常的 RPD 设计实践远未达到与牙医在 RPD 设计方面的职责和责任相关的专业、法律和道德准则和规则,因此需要加以改进。国际口腔修复学杂志 2022;36:131-137。doi:10.11607/ijp.7523。

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